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Asthma Diagnosis: Connecting the Dots

Key Information:

Getting diagnosed with asthma is not always straightforward. There is no single test that gives a simple “yes” or “no” answer.

Instead, getting a diagnosis is like “Connecting the Dots” to build a complete picture of your breathing.

Your story and your experience are the most important dots in the picture.


Step 1: Your Story (The Most Important Dots)

The process always starts with us listening to you. To build the picture, we need to know:

  • Symptoms: What exactly do you feel? (Coughing, wheezing, breathlessness?)
  • Timing: When do they happen? Do they get worse at night or early in the morning?
  • Triggers: Do symptoms flare up after exercise or exposure to cold air/pets?
  • History: Do you have any allergies (like hay fever) or a family history of asthma?

 


 

Step 2: The Tests (Adding to the Picture)

To confirm the diagnosis, we use simple, painless breathing tests to measure how well your lungs are working.

1. Spirometry

  • The Action: We ask you to take a deep breath in and blow out as hard and fast as you can into a machine.
  • The Reversibility Check: We often repeat this test after you have used a reliever inhaler to see if the medication opens your airways and changes your score.

2. FeNO Test

  • The Action: This involves breathing out steadily into a machine.
  • The Purpose: It measures the level of inflammation in your lungs.

 


 

Putting It All Together

Once we have all this information, we look at the dots together. If your story matches the test results, we can confirm the diagnosis and start a treatment plan.

 


 

What Happens Next?

If you have been having symptoms like coughing, wheezing, or breathlessness that you think could be asthma, please do not ignore them.

Discuss Your Symptoms

 


 

Further Information

Updating Asthma Care: The “2-in-1” Approach

Asthma Attack: Emergency Safety Plans

Asthma Triggers: Managing Your “Sparks”

Winter-Proofing Your Asthma: 3 Steps to Stay Well

For more information about asthma, including symptoms, treatment and living with asthma, please visit the NHS website.

Learn more about asthma

 


 

Last reviewed: 06 April 2026
Next review due: 06 April 2029